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Individual

DR. JAN YAMASHIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S., M.S.D.

Contact information

Practice address
1717 FOLSOM ST, BOULDER, CO 80302-6718
(303) 443-3774
(303) 442-6651
Mailing address
1717 FOLSOM ST, BOULDER, CO 80302-6718
(303) 443-3774
(303) 442-6651

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN - 10342
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DT-2469
HI

Other

Enumeration date
03/21/2012
Last updated
11/15/2013
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